Syria Crisis Humanitarian Highlights and Results March 2015

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1 US$ Millions UNICEF/Iraq 2015, A volunteer in Iraq helps with a house call check up Syria Crisis Humanitarian Highlights and Results March 2015 MARCH 2015 SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT Highlights In Syria, the thirteenth national polio immunization campaign was carried out by the Ministry of Health with support from UNICEF and WHO from 22 to 26 March 2015 reaching 2,426,244 children under the age of five nationwide. In Jordan, since January this year, UNICEF and Save the Children s Stay-in- School awareness sessions reached 45,000 people nationwide with messages promoting student retention in schools. To support resilience and sustainability of humanitarian interventions in camps, UNICEF continues infrastructure work in Za atari and Azraq. The Za atari Wastewater Treatment Plant, inaugurated on 3 March with the Ministry of Water and Irrigation, will reduce the cost and environmental impact of tankering waste to a distant municipal plant, and serve the entire camp population (now 83,00 people) for years to come. In Lebanon, UNICEF, together with the Ministry of Public Health (MOPH), aimed to reach 188,000 under 5 children through a supplementary polio immunisation campaign from 23 to 29 March (results pending). UNICEF provided 250,000 vaccine doses, to the (MOPH) and provided messages on the importance of immunising children against polio to caregivers and other community members through partner NGOs, volunteers, and scouts. In response to the increased economic vulnerability of refugees in Jordan and the rising use of negative coping mechanisms, UNICEF launched a humanitarian child cash grant programme which reached 54,269 of the most vulnerable Syrian girls and boys (from 14,896 families) in March, including 18,501 girls and boys from female headed households living below the absolute poverty line. SITUATION IN NUMBERS In Syria 5,600,000 # of children in need 12,184,000 # 0f people in need (HNO, November 2014) SITUATION IN NUMBERS Outside Syria 2,076,120 # of registered refugee children and children awaiting registration 3,956,210 # of registered refugees and persons awaiting registration (5 May 2015) Syria Appeal 2015 US$279 million Regional Appeal 2015 US$ 624 million *January December ,000,000 1,500,000 1,000,000 Refugees at 6 April 2015 compared to 3RP projections by 31 Dec 2015 Actual 06 April 2015 Projected 31 December % gap 500, Lebanon Jordan Iraq Turkey Egypt Funded Gap 1

2 Syria Highlights Humanitarian Situation Rural Damascus (Dara, Yarmouk) According to Syria Arab Red Crescent (SARC), approximately 10,000 people have been evacuated from Yarmouk camp for safer areas in Yelda, Babella and Beit Sem. Intense fighting and shelling continue all over the camp including heavy aerial bombardment. Non state armed groups including ISIL have taken over large parts of the camp including three hospitals according to reports. Clashes are also reported between different armed opposition groups in the Yalda area. Many civilians remain trapped inside the camp, unable to move out of their homes due to ongoing street-to-street fighting and the threat of sniper fire. On 3 April, the General Medical Commission, in charge of a number of healthcare centers and hospitals in southern Damascus, suspended medical services and withdrew its staff from the area. The Palestine Hospital has been repeatedly shelled by mortars resulting in damages to the facility. Humanitarian workers were also targeted resulting in the death of a Palestinian Red Crescent volunteer. Idleb City- As of late March, non-state armed groups (NSAGs) have gained full control of Idleb City. The groups have also taken control over Al Mastuma town, and there is a concern that fighting may spill over and block the humanitarian response to IDPs hosted in Ariha, located just a few kilometres away. The IDPs are also at risk of further displacement. According to OCHA s latest estimates, up to 156,000 people are reportedly internally displaced in Idleb, 56,000 of whom have been registered by humanitarian partners (OCHA, 1 April, 2015). Two health facilities, the National Hospital and the SARC clinic, have reportedly been hit by airstrikes. Most of the wounded have been evacuated to other health facilities in rural Idlib or Turkey. The health sector reports that all 7 health facilities inside Idleb city are closed. Deir-ez-Zour- The humanitarian situation in the hard to reach city of Deir-Ez-Zour continues to deteriorate. An estimated 228,000 people are living in besieged neighbourhoods of the city which has been without power since non state groups cut the supply on the 24 th March. As a result of the power outage, water supply has been reduced to 15 hours over 10 days. Solid waste disposal has become a significant public health hazard. Under these conditions there are widespread reports of the spread of disease including typhoid, Hepatitis A and Leshmanaisis. Despite efforts over the past two months to transport supplies via the road from Al- Hasakeh, UNICEF has not been able to complete the planned delivery 60 tons of water treatment chemicals, largely due to insecurity. UNICEF is exploring different options to respond to the crisis in Deir-Ez-Zour, including airlifting supplies from Damascus. UNICEF Response to ongoing Emergencies Dara, Yarmouk - UNICEF delivered 1,000 First Aid Kits and emergency nutritional supplies to manage the needs of 10,000 children to UNRWA (who are leading the humanitarian response for Palestinian refugees). In addition, five members of the Palestinian Red Crescent were trained on Community Management of Acute Malnutrition (CMAM). UNICEF distributed 10,000 blankets, 11, 789 baby hygiene kits, packs of washing powder, 24, 762 jerry cans, 1,088 water purification boxes and 277 family hygiene kits through the Syrian Arab Red Crescent Society and the General Administration for Palestinian Arab Refugees for 2500 IDPs. Idleb -UNICEFs water trucking continues to Ariha City in Idleb providing basic water needs for 10,000 beneficiaries. In addition, UNICEF has delivered 5,000 baby hygiene kits, 5,000 packs of washing powder, 500 Basic water kit (including jerry cans), 5,000 family hygiene kits, 25,000 bars of soap to meet the needs of 5,000 families (an estimated 25,000 people) in Ariha. In addition, UNICEF distributed winter clothes for 5407 displaced children and provided 2,220 adolescents with psycho social support activities and 575 adolescents with life skills and vocational training in Ariha. Dier-ez-Zour -UNICEF continues to remotely manage psychosocial support for 4,250 adolescents and vocational and life skill training for 1,547 adolescents. Programme Results Estimated Affected Population (*) revised November Child figures are calculated based on CBS demographic distribution of 2011 and on UNOHCHR figures - estimate 46% of population are children under 18 years old. Total People in Need * 12,184,000 Children in Need (Under 18) 5,600,000 Total Displaced Population * 7,600,000 Children Displaced 3,500,000 People in Hard to Reach Areas Children in Hard to Reach Areas 4,859,000 Up to 2 million Children People in Beseiged Areas 212,000 2

3 Cross line convoy to Rastan, Homs: UNICEF participated in an inter-agency convoy to Rastan sub district of Homs targeting 16,283 families (around 81,000 people, including children) through three batches of convoy supplies. The first batch of UNICEF supplies were delivered on 26 March and included 6,650 Baby Hygiene Kits, 11,250 Soap bars, 4,807 bottles of Lice Shampoo, 1,077 boxes of High Energy Biscuits, which will benefit 5,000 families. The remaining two planned convoys to Rastan have been postponed due to security reasons. Health: The thirteenth national polio immunization campaign was carried out by the Ministry of Health with support from UNICEF and WHO from 22 to 26 March 2015 reaching 2,426,244 children under the age of five nationwide. UNICEF provided a total of 3.5 million doses of oral polio vaccines; over 9,113 health workers and volunteers participated in the campaign. UNICEF provided 20 Essential Drugs and Supply Kits to health facilities in areas hosting IDPs from Idleb, and 51 Kits of the same kind are being distributed in Aleppo. These kits will provide essential medicines for up to 710,000 patients over the next three months. In Quneitra and Dara, UNICEF supplied 7 clinics with essential medicine kits that will treat 10,000 patients over a three month period. WASH: A total of 1,191,563 people were provided with improved access to water, sanitation and hygiene services through light rehabilitation of existing water networks, water trucking, and the distribution of hygiene supplies along with hygiene promotion messages. These interventions were implemented in cooperation with local Directorates of water and SARC in 35 sub-districts in Aleppo, Damascus, Rural Damascus, Homs, Idleb and Hassakeh Governorates. In Idlib, where access to water is under the control of armed elements, hygiene kits are being distributed to 2,539 displaced families in 50 different locations in Harim and Jisr Al Shughurhis. Education: Over 10,360 children have received essential school kits comprising of school bags and basic stationary in Hassakeh Governorate (Hassakeh, Markada, Shadadah, and Hole sub districts) covering 100% of the target in these locations (the supplies targeted for Hole were distributed in Hassakeh to IDP children coming from Hole, as Hole remains inaccessible). Since the launch of the 2014/15 back to learning campaign in September 2014, UNICEF and the Ministry of Education reached a total of 746,462 children out of a target of 1,160,000 with essential school supplies, of which 210,817 are in 56 sub districts in hard to reach locations. Child Protection: 24,887 children were provided with psychosocial support services in 11 governorates through 41 mobile teams and 18 child friendly spaces run by UNICEF s NGO partners in Aleppo, Hassakeh, Damascus, Rural Damascus, Homs, Qunietra, Sweida, Darr a, Tartous Latakkia and Hama. In the same month, 27,426 adolescents were provided with psychosocial support and life skills training. So far, in 2015, a total of 138,171 children and adolescents have been provided with psychosocial support, this represents 23% of UNICEF s target of reaching 600,000 children with psychosocial support in Supplies and Logistics: A total of 43 trucks carrying UNICEF supplies crossed into Qamishli through the Nusaybin border with Turkey between 2 and 9 April Supplies imported included water treatment products, midwifery kits, diarrhoeal disease sets, washing powder, water purification tablets, bars of soap and family and baby hygiene kits. A portion of the WASH items imported (WASH supplies for 100,000 people) will replenish contingency stocks. The water treatment supplies (330 metric tons) were delivered directly to the Department of Water Resources and will be used to support water treatment/purification needs for 2.3 million people in Raqqa and Hassakeh Governorates. SUMMARY OF PROGRAMME RESULTS (As of end of March, 2015) Syria WASH* Need: Safe water million; Hygiene - 12 million (SRP 2015) # affected population provided with improved water and sanitation services by developing, rehabilitating and maintaining the Public Infrastructures (1) # affected population periodically provided with hygiene items coupled with hygiene promotion messages in the collective shelters and in host communities settlements (2) # affected population with access to safe drinking water and appropriately designed toilets and sanitation services in the collective shelters and in host communities settlements (3) * 2015 Sector Target 2015 Sector Results 2015 UNICEF Target 2015 UNICEF Results 6,000,000 2,041,465 3,500,000 1,776,263 4,800, ,178 1,800, ,602 2,900, ,995 1,800, ,830 # affected population in public Institutions (Schools, Child Friendly Spaces and Health Centers) provided with improved WASH services (4) 700,000 60, ,000 60,076 Child Protection (CP) # children receiving Explosive Remnant of War risk education in schools and communities (1) 1,350,000 0 # of girls and boys participating in structured, sustained child protection or psychosocial support programmes. (2) 350, ,171 # of children and adolescents reached through unstructured psychosocial activities(3) 250,000 26,852 # of child protection actors and stakeholders trained (women, men) (4) 2, Education Need: 4.5 million people 3

4 # children (6-17) with access to formal education (1) 3,500,000 5, ,500 5,212 # children (6-19) with access to non-formal education opportunities (2) 4,500,000 31,459 1,600,000 25,487 # teachers and education actors with access to professional training and capacity development initiatives (3) 480, , # children (3-15) receiving Back to Learning (BTL) materials (4) 4,500,000 48,107 2,800,000 34,947 Health # children under five reached with polio vaccine (1) 2,900,000 2,900,000 2,989,659 # children under one with routine vaccination (2) 570, ,000 24,772 # children & pregnant and lactating women accessing basic health services (3) 1,300, ,689 Nutrition Need: 3.94 million people (SRP 2015) # children U5 and PLWs receiving multi-micronutrients supplementation (1) 2,200,000 40,574 1,000,000 40,574 # children 6-59 months receiving nutrient supplements (2) 517, , ,000 43,635 # children 6-59 months treated for SAM (3) 21, , Social Policy Need: 9.96 million people (1.9 million families) # families receiving cash assistance to meet their basic needs (1) 7,500,000 20,000 0 # children benefitting from winter and summer clothes (2) 500, ,514 Footnotes WASH * An estimated up to million people benefit from sustained supply of chlorine to treat drinking water across the country, with population in need estimated at 16,500,000 for treatment supplies to disinfect water supplies. 1) Cumulative # of people accessing safe drinking water through rehabilitation/ repair of the existing water supply systems with established operations/maintenance routines, rehabilitation of water and sewage systems infrastructures including supply of equipment, spare parts, fuel and chemicals for treatment, equipment of boreholes, enhancing of surface/ground water production & distribution. 2) # of people reached with periodic distribution of hygiene items in institutions and IDP Camps /Shelters /Host settlements coupled with dissemination of hygiene promotion messages. 3) # of people reached with access to hygienic toilets or latrines, hand washing facilities (aquatabs,water tanks and trucking, etc) in IDP settlements, and host communities, (temporary or midterm) 4) # of people benefitting from rehabilitation and improvements of WASH facilities in schools, child friendly spaces and health centres Child protection 1) Children and individuals in communities reached through explosive-remnants-of-war (ERW) Risk Education (RE) awareness through schools and mass communication, and through integrating RE into existing activities including school clubs, health services and other child protection services. 2) Beneficiaries of psychosocial support including children and adolescents receiving psychosocial support in Child Friendly Spaces (CFS), Adolescent Friendly Spaces, mobile units, and school clubs. 3) Level 1 PSS activities including children benefiting from recreation kits and child protection open days. In addition, this indicator will measure adolescents reached through mobile outreach approach (95,000 adolescents). 4) Child protection actors include 1500 school counsellors and 500 community / NGO workers, trained in PSS and case management and referrals Education 1) The UNICEF target is a combination of three target indicators: Children provided with equitable access to formal education opportunities through the rehabilitation of schools (350,000), provision of prefabricated class rooms (14,000), and with basic education bursaries and given access to formal schools (1,500). 2) # of children provided with non-formal education opportunities (some of which can improve learning in formal schools), including 1.6 million children and adolescents provided with self-learning materials (total) in addition of which: 500,000 children provided with remedial education, 165,000 adolescents provided with Life Skills Based Education, including at least 56,000 with vocational education. Of the 165,000, 130,000 adolescents will be reached through mobile outreach. 3) Includes: i) Developing capacity of 5,600 teachers including in active learning, curriculum B, self-learning, extra-curricular, and life-skills education; ii) 200 education participants capacity development support in minimum standards/ information management; iii) 115 teachers trained on Life skills; and iv) 1,000 youth volunteers/facilitators trained on vocational and life skills. 4) Provision of essential teaching and learning materials including text books, school bags and stationaries (target: 2.8 Million) Nutrition 1) Children reached with micronutrient supplementation/ pregnant & lactating women receiving micronutrients incl. iron folate. 2) Children aged 6-36 months who received complementary foods and lipid-based nutrient supplements 3) Children treated for Severe Acute Malnutrition with Ready-to-use Therapeutic Food (RUTF) e.g. Plumpy Nut. Social Policy 1) Displaced and vulnerable households supported with cash and vouchers to meet immediate basic needs 2) Displaced children (3 months to 14 years) supported to protect them from the impact of extreme weather - particularly in shelters/ hard to reach areas. Jordan Highlights In response to the increased economic vulnerability of refugees in Jordan as well as the rising use of negative coping mechanisms, UNICEF launched a humanitarian child cash grant programme which reached 54,269 of the most vulnerable Syrian girls and boys (from 14,896 families) in March. This programme included 18,501 girls and boys from female headed households living below the absolute poverty line. Affected Population Registered refugee figures from UNHCR data portal as at April 06, There are no persons pending registration. Registered M: 309,256; F: 627,295 refugees 318,039 Child Refugees M: 166,233; F: 323,684 (Under 18) 157,451 Child Refugees M: 53,947; F: 105,386 (Under 5) 51,438 Source: To support the resilience and sustainability of humanitarian interventions in camps, UNICEF continues infrastructure work in Za atari and Azraq. The Za atari Wastewater Treatment Plant, inaugurated on 3 March with the Ministry of Water and Irrigation, will reduce the cost and environmental impact of tankering waste to a distant municipal plant, and will serve the entire camp population (now 83,00 people) for years to come. 4

5 Final work on Borehole 3 in Za atari and the new borehole in Azraq camp are ongoing and will be completed by May Ten water and sanitation infrastructure enhancement projects have been launched in Irbid, Mafraq and Zarqa Governorates that will benefit more than 800,316 people, including 320,126 children, with improved access to safe water and sanitation in host communities, once completed in July With the support of UNICEF and UNHCR, MoSD held a 5-day training for 25 Behavioral Monitors, Family Protection Department staff and INGO/NGOs case workers on procedures for formalizing alternative care for Syrian unaccompanied children in Jordan. In 2015, these trainings (for 120 caseworkers and other staff) will support the establishment of a public foster care system for children without parental care, and will benefit an estimated 1,500 unaccompanied and separated Syrian refugee children. Since January this year, UNICEF and Save the Children s Stay-in-School awareness sessions reached 45,000 people nationwide, with messages promoting student retention in schools. As of March 2015, a total of 94 UNICEF partner sites in camps and host communities are now Makani-My Space locations where an an integrated package of services including psychosocial support, life skills training, and alternative education are provided. These 94 locations are poised to reach over 96,000 children this year through this cost efficient integrated approach, which will be expanded to 200 Makani locations nationwide. (see below map.) Makani Locations 5

6 SUMMARY OF PROGRAMME RESULTS (January March 2015) Jordan WATER, SANITATION & HYGIENE # of people with increased access to potable water through improved and expanded water network and household interventions in host communities. Sector 2015 target Sector result March 2015 UNICEF target total 2015 UNICEF result ,366,021 7,000 1,700,000 7,000 # of people with access to potable water in camps 307, , , ,000 # of people reached through messages on key hygiene practices 614, , ,000 25,000 # of people with access to appropriate sanitation facilities through improvement/extension of sewerage systems and household facilities in host communities # of people with access to appropriate sanitation facilities through waste management 1 services in camps # of boys and girls having access to WASH services in schools, clinics and child-friendly spaces in host communities # of boys and girls having access to WASH services in schools, clinics and child-friendly spaces in camps CHILD PROTECTION # children/ adolescents with access to psychosocial support services (level 2&3) # children receiving specialized services from case management services from qualified frontline workers # of community members, including children, sensitized on CP issues, services available and referral pathways. # of GoJ officials, civil society & humanitarian workers trained on CP EDUCATION and YOUTH # of school aged Syrian boys and girls registered in Jordanian public schools (primary and secondary) # of children and youth benefiting from alternative certified nonformal education # of children and youth benefiting from alternative informal education (basic learning and numeracy) #children and youth benefit from technical skills/post-basic education # children and youth (10-24 yrs old) benefit from life skills activities # of children who have received school supplies # of teachers, school supervisors, counsellors and other educational personnel trained HEALTH 1,467, , ,212 45, ,170 74, ,000 N/A 36, , ,000 74, , , ,000 No new beneficiaries in ,000 28, ,264 21,025 3,123 13, ,547 33, ,000 2, , ,000 71, ,144 16,111 67, ,058 1,056 13,429 1,724 34, ,300 33,472 5, ,000 7,500 80,500 3,500 58, ,000 4,000 32,184 boys & 35,198 girls (67,382) 1,275 boys & 1108 girls (2,383) 11,350 men & 16,198 women (27,548) 289 men & 305 women (594) # children 9mo-15yrs vaccinated for measles 2 34,000 2,346 34,000 2,346 # of children 0-59 months vaccinated for polio 3 248,970 2, ,970 2,208 # children <5 yrs (boys and girls) fully covered with routine 34,000 1,101 34,000 1,101 Immunization antigens # of child bearing aged women (15-49) received more than two 28,800 4,466 28,800 4,466 doses of tetanus toxoid NUTRITION 129,058 # caregivers/ mothers reached with Infant and Young Child 153,600 19,315 72,000 19,315 Feeding services # of children U5 screened for malnutrition 14,500 1,738 14,500 1,738 BASIC NEEDS # vulnerable children receiving monthly cash assistance 237, ,290 75,000 54, ,295 1,604 3,850 21, Includes solid waste and waste matter 2 Arrivals at Raba Sarhan Transit centre + measles coverage in the camp and host 3 Target includes one sub NID round of 200,000 people and new arrivals totaling 48,970 6

7 Lebanon Highlights Together with the Ministry of Public Health (MOPH), a supplementary polio immunization campaign aiming to reach 188,000 under 5 children most atrisk of being unvaccinated/under-vaccinated was conducted in 196 cadastres from 23 to 29 March (results pending). UNICEF provided 250,000 vaccine doses to the MOPH as well as messages on the importance of immunizing children against polio to caregivers and other community members through partner NGOs, volunteers, and scouts. UNICEF, in partnership with the MOPH and NGO partner ABAAD, 11 forensic doctors were trained on gender-based violence (GBV) and clinical case management. This training will allow 15 health facilities across Lebanon to provide better quality care for survivors of sexual violence. The training (aligned with the Lebanese legal framework related to sexual violence and the ethical collection of forensic evidence) aimed to enhance the knowledge of forensic doctors, affiliated with the Ministry of Justice, on the clinical measures and soft skills required when dealing with survivors of sexual violence. So far this year, just over 22,200 girls, boys and their caregivers have received information on available protective services and on how to access them, and 22,287 children and their caregivers have received additional psychosocial support services. UNICEF has been working closely with the Ministry of Education and Higher Education (MEHE) to ensure that as many Syrian children as possible are enrolled in Lebanese public schools. MEHE reports that roughly 190,000 Lebanese and 44,500 children of other nationalities (including Syrian refugees) have been enrolled in the first shift (morning classes) of public primary school. UNICEF has provided assistance to MEHE to enroll 27,314 of the 44,500 children in the first shift. More than 110,000 refugee children have been supported to enroll in formal education for the 2014/2015 school year. The Ministry of Education and Higher Education (MEHE) reports that over 60,000 refugee children have been enrolled in 144 primary public schools offering second shift (afternoon) classes. UNICEF has assisted over 11,000 vulnerable Lebanese to enroll in public schools. Another 37,721 children are currently enrolled in basic literacy and numeracy programmes (9,612 supported by UNICEF). These children are not eligible for formal education, for various reasons (such as education gaps resulting from years of school missed), and would have no access to education opportunities without such programmes. Over the past three months, approximately 80,800 children and their families have benefitted from hygiene promotion activities, including sessions on hand washing with soap in order to reduce the risk of diarrheal disease. On 22 March, World Water Day was celebrated in Lebanon, with UNICEF, UN-Habitat and NGO partners celebrating the day through awareness raising sessions, advertisements and interactive events for children and communities on the importance of water conservation and hygiene, reaching almost 60,000 people. Summary of Programme Results (March 2015) Lebanon WATER, SANITATION & HYGIENE Sector 2015 target Sector 2015 result 1 UNICEF 2015 target UNICEF 2015 result # of individuals with improved water supply at an adequate level of service 2,862, , , ,627 # of individuals with access to improved sanitation facilities 478,184 22, ,266 25,838 # individuals who have experienced an HP session 2,008,651 71, ,326 80,802 # individuals with access to hygiene items 342,020 20,337 25,778 20,742 CHILD PROTECTION Affected Population Registered refugee figures from UNHCR data portal as at April 06, *estimated as per 3RP M: Male; F: Female Registered Refugees Persons Pending Registration Child Refugees (Under 18) Child Refugees (Under 5) Estimated host community affected* 1,180,185 M: 559,408; F: 620,777 11, , ,875 M: 321,010; F: 308,028 M: 113,298; F: 108,577 1,500,000 # of girls and boys provided with quality information 400,900 6, ,000 22,260 # of caregivers provided with quality information 170,272 3, ,000 17,012 # of girls and boys who received structured PSS 302, ,000 22,287 # of caregivers who received structured PSS 66,493 50,000 6,519 # of children accessing structured PSS in education spaces 47,545 20,000 2,453 # of girls and boys provided with specialized services 2 82,

8 # of CP/non-CP actors trained 1,989/3, /55 350/ /91 # of individuals who access static safe spaces 3 73,211 32,000 5,721 # of individuals reached by mobile services 3 81,940 60,000 3,254 EDUCATION # of children (b/g) enrolled in formal basic education 4 227, ,795 87,150 79,410* # of children (b/g) enrolled in NFE basic education (literacy/numeracy) 50,978 30,000 9,612 # of children (b/g) enrolled in formal ALP basic education 92,028 60,000 # of children (b/g) having received school supplies 534, , ,619 # of Public schools rehabilitated that meet safety and accessibility standards (as per MEHE regulation) # of teachers/educators/facilitators (m/f) trained 14,176 6, HEALTH # of primary health care consultations 2,448, , , ,614** # children under 5 receiving routine vaccination 239,986 18, ,000 6,572 # children vaccinated in campaigns 1,883,300 1,799,982 # of healthcare providers trained 6,524 2,500 NUTRITION # of children U5 screened for malnutrition 418, ,000 24,839 # of children U5 admitted for malnutrition management 14,282 13, # of individuals received micro-nutrient supplements (children and PLW, UNICEF only) Basic Assistance (Winterization) 441, ,000 21,780 # of children (b/g) receiving clothing 150, ,206 1 Sector results for February 2015 are reported against the sector dashboards as taken from: Data for March 2015 is not yet available. 2 Only children who receive specialized services: children needing family-based care, emergency shelters, services for disabilities, WFCL including CAAFAG, and specialized mental health services. 3 SGBV indicator 4 Number of children enrolled in public schools for the 2014/2015 school year. UNICEF supported enrolment data is not yet available and will be reported once results are received from the Ministry of Education and Higher Education (MEHE). * Results reported by MEHE. 42,490 children of nationalities other than Lebanese and 11,600 Lebanese enrolled in the first shift. 25,000 children enrolled in second shift. **93,362 reported by partners and 204,252 reported by the Ministry of Public Health (MOPH) for the PHCs supported by UNICEF. 8

9 Iraq Highlights Affected Population Registered refugee figures from UNHCR data portal as at April 06, There are no persons pending registration. Registered refugees 246,836 M: 133,045; F: 113,791 Child Refugees (Under 18) 113,545 M: 59,241; F: 54,304 Child Refugees (Under 5) 41,715 M: 21,228; F: 20,487 UNICEF, in cooperation with its partner the Directorate of Surrounding Water (DoSW), repaired and conducted maintenance work on all water supply systems in the four refugee camps in Erbil (Qushtapa, Basirma, Kawergosk and Darashakran), which improved the provision of safe and adequate amounts of water for 29,970 refugees. In Arbat Refugee Camp in Sulaymaniyah Governorate, UNICEF and the DoSW installed three new boreholes and connected them to three new water reservoirs, constructed by the Qatar Red Crescent through a cost-sharing mechanism. The reservoirs have a total capacity of 144 cubic meters and provide safe drinking water to 5,878 Syrian refugees, although total daily water demands still fall short by a quarter. To supplement the gap, UNICEF, through its partner the International Rescue Committee (IRC), is providing 90,000 liters of safe drinking water through daily water trucking activities. UNICEF continues to support local and governmental health authorities to provide routine immunization services for Syrian Refugees in Camps. Throughout the reporting period, in 8 refugee camps across the KR-I, a total of 1,751 children under five received routine vaccinations against polio, and 265 under one-year-old infants were immunized against measles. UNICEF supported growth monitoring and baby hut units providing services, including the examination of 3,145 children under five, and the provision of supplementary and therapeutic food. Since December 2014, UNICEF, with the support of its implementing partner, is providing Catch-Up-Classes (CUC) in English, Mathematics and Arabic in Kawergosk, Darashakran, Qushtapa, and Basirma refugee camps in Erbil Governorate. Thus far, a total of 4,500 refugee students from grade 1 to 9 were enrolled, targeting in particular the new arrivals from Kobane (Syria), who have been missing classes, due to their recent displacement. In March 2015, 827 refugee students were enrolled. UNICEF provided technical and financial support to the Directorate of Education (DoE) in order to repair leaking roofs in all refugee camp schools throughout Dahuk Governorate. Since the beginning of the Syrian Refugee Crisis in Iraq, UNICEF established 16 schools across the 8 refugee camps in the KR-I, giving students in camps access to formal quality education since the start of the academic year. According to the Education Cluster, school enrolment of primary-school aged children in camps has reached 74%, however, 48% of all school-aged children in and outside camps in Iraq (28,690) are still out of school. UNICEF, with the support of its implementing partners, conducted several Communications for Development (C4D) campaigns throughout March across all four refugee camps in Erbil Governorate (Basirma, Kawergosk, Qushtapa & Darashakran), which have a total camp population of 29,970 refugees. The activities were part of a series of campaigns resulting from an assessment and Child safety Audit previously conducted. Identified awareness raising needs included the promotion of school attendance, smoking amongst children and adolescents, coping-mechanisms and co-existence in camp environments, as well as positive disciplinarian methods for teachers and other child protection concerns. At the start of April, due to the lack of funds, Un Ponte Per (UPP) closed its Mental Health Psychosocial Support Services (MHPSS) in Gawilan Refugee Camp. The cancellation of mental health services will create a serious gap in service provision for refugees, considering that the UPP MHPSS Unit received daily about 20 to 25 persons, including children. Currently there are no other organizations which could alternatively provide quality mental health services to those in need. UNICEF, the Directorate of Health (DoH) in Dohuk and UNHCR are jointly exploring the causes of a noticeable increase of the neonatal mortality rate in some refugee camps. Local health authorities identified several early risk factors in Arbat Camp, including unwanted pregnancies, inadequate access to medical services and neo-natal care units, the long distance of referred critical cases to the closest Primary Health Care Centre and the poor economic status of many families. 9

10 SUMMARY OF PROGRAMME RESULTS (January March 2015) Sector 2015 Sector total Iraq targets 2015 results WATER, SANITATION & HYGIENE (WASH) # emergency affected population provided with adequate access to safe water # emergency affected population provided with sustainable access to safe water # emergency affected population with access to functional toilets & bathing facilities 4 # emergency affected population with access to functional appropriately designed toilets & bathing facilities connected to disposal system (recurrent intervention) 2 # beneficiaries with routine access to solid waste collection and disposal services 5 UNICEF 2015 targets UNICEF total 2015 results 71,468 23,121 45,024 23, ,769 74,955 78,924 73, , , ,256 94,580 57,366 91, ,546 80,405 50,738 6,995 # beneficiaries received hygiene kits 120,219 21,841 49,290 20,966 # beneficiaries reached through hygiene promotion (recurrent intervention) 6 # children with access to safe WASH facilities in their learning environment and child friendly spaces CHILD PROTECTION 120,219 94,415 49,290 91,605 43,738 14,593 43,738 14,593 # children with access to psychosocial support services 20,669 6,480 14,262 3,611 # children receiving specialized child protection services (reunification, alternative or specialized care and services) 7,950 1,418 3, # Para-Social workforce trained EDUCATION # boys and girls in basic education 7 27,012 29,338 24,782 21,338 8 # children who have received school supplies 27,012 9,100 24,782 9,100 # children with access to psychosocial support in education programmes 27,012 18,675 24,782 16,812 HEALTH # children under 1 immunized against measles 6,366 1,123 # newborn babies of conflict-affected families benefitting from newborn home services 3,170 1,609 # children 0-59 months vaccinated for Polio 9 750,582 6,255 # health facilities in impacted communities supported NUTRITION # children under 5 provided with access to growth monitoring (nutrition screening) services 14,382 10,029 4 Indicator for access to temporary sanitation services, such as through transit camps in response to any new influx. 5 UNICEF decreased since January, because UNICEF passed some solid waste activities to government partners. Results are anticipated to further reduce over the coming months as more activities are handed over. 6 Some services in camps are being gradually handed over from UNICEF to other organizations and institutions, based on earlier agreements. It is expected that the number of beneficiaries reached by UNICEF will be therefore gradually declining, approaching the target set for UNICEF. 7 Sector and UNICEF targets refer to children of 6 to 14 years enrolled in formal basic education. However the results for this age group are not currently available, and reflect enrolment across all ages (gross-enrolment). Results will be revised once the age-specific data is available. 8 There was a drop in school enrolment in Domiz I & II, due to the movement of some refugee families from Domiz I to Domiz II Refugee Camp. When the schools re-opened in early March after the spring break, many students had not settled to resume schooling. UNICEF is addressing this by conducting tent visits to promote the importance of schooling. 9 The polio immunization campaigns target all children under the age of five years, including internally displaced people, host community members and Syrian Refugee children. Since more than 97 per cent of all Syrian refugees in Iraq reside in the KR-I, the 3RP funds for polio immunization are only used in Dahuk, Erbil and Sulaymaniyah Governorates. Immunization campaigns in the rest of Iraq are funded under the SRP. 10

11 Turkey Highlights Affected Population Registered refugee figures from UNHCR data portal as at April 06, There are no persons pending registration. Total refugees 1,738,448 M: 883,132; F: 855,316 Child Refugees (Under 18) 942,239 M: 486,765; F: 455,473 Child Refugees (Under 5) 347,690 M: 182,537; F: 165,153 According to the Government of Turkey and UNHCR, at the end of March 2015, there were 1,758,092 registered Syrian refugees in Turkey, with 54.2% of them children (952,886), and 20% were children under 5 (351,618). 10 This represents an increase of over 100,000 people registered since the last reporting period. In March, UNICEF continued to improve access to education for Syrian children in camps and host communities, distributing school supplies to 14 schools to benefit 15,120 children. During the period, 6 library containers were installed in Syrian refugee camps to serve 19,572 children. As a part of its resilience and system strengthening interventions, UNICEF supported local governorates and the Ministry of National Education in the development of Provincial Action Plans. Draft Provincial Action Plans were finalized for 5 provinces in South East Turkey (Gaziantep, Mersin, Urfa, Adana and Hatay). These plans identify specific activities for each province to undertake in order to rapidly scale up access to educational opportunities for Syrian refugee children. A Youth Led Assessment was conducted by Syrian young leaders, under the supervision of youth workers, across 22 camps to measure and evaluate the impact of the Child-Friendly Spaces (CFS s) on children s lives. The assessment sought to measure the impact of trainings for Syrian young leaders in CFS s and how they put the newly acquired skills to use, and to measure the nature and the impact of the recreation, play and psycho-social support activities offered. Across all camps, a total of 1,200 children ranging in age from 7-17, participated in the assessment. The results of the assessment show that CFS have a positive impact on children s well-being, with participation in CFSs playing an important role in developing and strengthening child rights, friendships, and peaceful coexistence, respect, unity and solidarity concepts. Since the end of 2014 social cohesion and peacebuilding trainings were conducted by UNICEF partners in 10 provinces, reaching approximately 700 Syrian and Turkish children. The trainings focused on child rights, participation, empathy, communication skills, and the empowerment of children for their resilience and peaceful coexistence. The Ministry of Health (MoH) authorized a Supplementary Immunization Activity (SIA) campaign for polio in five high-risk provinces: Kilis, Sirnak, SanliUrfa, Mardin and Hatay. The SIAs will begin at the end of April The MoH has indicated that their own technical and supply capacity is sufficient, but UNICEF stands ready to provide communications and other support should the MoH put in a request. Turkey NUTRITION SUMMARY OF PROGRAMME RESULTS (January March 2015) # children under 5 receiving multi-micronutrient supplementation 12 CHILD PROTECTION # conflict-affected boys and girls with equitable access to psychosocial support services, including in Child-Friendly Spaces and mobile units 13 # conflict-affected boys and girls reached through specialised services from qualified frontline workers referrals # Syrian and Turkish adolescents in impacted communities who are trained for social cohesion and peace building through peer support, youth mobilization and advocacy 14 Sector 2015 target Sector total 2015 results 11 UNICEF 2015 target UNICEF total 2015 results 250, ,000 50,000 11, ,000 2, ,400 5, Data on the sector response is pending publication of the sector dashboards on 12 These indicator and targets may change subject to changes in UNICEF Health and Nutrition strategy. 13 Target corrected from previous SitRep 14 Sector target from 3RP. Previous UNICEF target included peer Turkish language classes which are moved to education and the UNICEF target has been revised. 11

12 # Syrian individuals trained through the parenting training programme 125,000 5,000 4,645 EDUCATION # school-aged children in schools/ learning programmes , , ,000 94,939 # children who have received school supplies 250, ,000 19,599 # educational facilities constructed / refurbished and accessible by Syrian children in camps and non-camp settings # (qualified) teachers trained 18 4,150 3,500 6,500 # qualified teachers supported with incentives 19 3,500 3,500 2,954 # children and adolescents receiving NFE/ IFE (Syrians, Other affected groups) , ,000 0 Egypt Highlights UNICEF s Child Protection program, on behalf of the Child Protection Sub-Working Group, developed an Implementation Strategy for the Affected Population Registered refugee figures from UNHCR data portal as at April 06, There are no persons pending registration. M: 68,279; F: Registered refugees 133,619 65,340 Child Refugees M: 29,530; F: 57,323 (Under 18) 27,793 Child Refugees (Under 5) newly designed Child Protection Case Management Standard Operating Procedures (SOPs) and conducted trainings on the SOP for child protection caseworkers and supervisors working in a range of international and local organizations. Four training courses were conducted in Cairo and Alexandria to ensure that child protection actors are effectively and efficiently providing specialized child protection services to the most vulnerable Syrian refugees. The Egyptian dialect was identified as being an impediment facing Syrian refugee children in schools in Egypt. With the aim of increasing Syrian children s attainment of quality education in Egyptian public schools, UNICEF provided technical support (through the recording of E-lessons using Syrian dialects) to the Ministry of Education. The recorded E-lessons are awaiting approval from Ministry of Education before the web link will be available for use. UNICEF has identified 15 public schools that will be equipped with resource rooms and provided with technical support to improve Syrian refugee children with special needs access to education. 16,168 M: 8,284; F: 7, UNICEF targets and results for enrolment figures are cumulative over the 2014/15 school year 16 Total enrolment figure from MoNE as of end March Please note figures for educational facilities are cumulative over the 2014/15 school year 18 UNICEF target corrected to 3,500. UNICEF has surpassed the target as explained in the February SitRep narrative. 19 Incentives are paid to the whole target group each month, the result is not cumulative and UNICEF aims to reach the target teachers every month. Thus, the number of teachers reached can fluctuate each month. 20 UNICEF target corrected from previous SitRep. 12

13 SUMMARY OF PROGRAMME RESULTS (January - March 2015) Egypt Sector 2015 target Sector total 2015 results UNICEF 2015 target UNICEF total 2015 results CHILD PROTECTION # Children, adolescents with access to community based CP and PSS support 17,000 10,000 2,155 # children participating in structured, sustained child protection or 0 1,000 psychosocial support programmes (girls and boys) # children participating in structured, sustained child protection or 0 1, psychosocial support programmes (girls and boys) # Parents with access to community based CP and PSS 3,400 2, # Syrian girls and boys with access to specialized psychosocial support case 205 2,450 1,500 management # government, civil society and community based organization staff trained 0 23 on CP EDUCATION # of Syrian children enrolled in formal education opportunities 62,700 14,500 13,181 # of community structures and KGs established # of public and community school reached with child safeguarding mechanisms # of students reached by psychosocial support # of teachers trained # of schools provided with education resource rooms 3, # of teachers (m/f) trained on design and implementing plans for students with special needs # of teachers/supervisors trained on active learning and multi-grade classroom management # of managers trained (m/f) # of schools equipped and refurbished HEALTH # under 5 (Egyptian and Syrian) children immunized during polio NIDs 31 14,500,000 14,500,000 0 # U5 Syrian children immunized through the Routine immunization (measles) 32 15,000 15,000 0 # Syrian women (15-49year of age) benefiting from Primary health services (ANC, PNC, Hypertension etc) 33,441 10,000 1,207 # Egyptian women (15-49) benefiting from access essential primary health services ,000 20,000 # Syrian new born with access to obstetric and neonatal intensive care units) No data was provided by the CP section on this indicator as activities are yet to start 22 Activities have yet to start 23 Activities have yet to start 24 Three classes were closed since February Activities is planned for the second quarter in coordination with the Education program 26 Activities is planned for the second quarter in coordination with the Education program 27 Activities planned for the school year 2015/ Schools identified activities planned for the school year 2015/ Activities planned for the school year 2015/ KG teachers 31 Preparation for the first NID will start in April No data is officially approved for availing from the Ministry of Health and Population (MoHP) 33 Aapprovals for data from MoHP yet to be received. 34 Work on this component will start in the second quarter of

14 Funding Status Syria Crisis 28-Apr-15 Funding Status In millions of US Dollars WASH Education Child Protection Health & Nutrition Basic Needs Other (MENARO) Total* Percentage Funded Syria Jordan Lebanon Iraq Turkey Egypt MENA Required Funded Required Funded Required Funded Required Funded Required Funded Required Funded Required Funded Funding Gap ($) % 31% 32% 34% 22% 13% 6% Total Required Funded % Funded 31% 24% 43% 13% 22% 0% 27% Funding Gap ($) Funding Gap 69.2% 75.9% 56.8% 87.3% 78.2% 100.0% 73.0% (%) * The total amount includes funds that are currently being allocated to country offices. 27% Next SitRep: 20 May 2015 UNICEF Syria Crisis: UNICEF Syria Crisis Facebook: UNICEF Syria and Syrian Refugees Humanitarian Action for Children Appeal: Who to contact for further information: Geoff Wiffin Syria Crisis Emergency Coordinator UNICEF MENA Regional Office Mobile: +962 (0) gwiffin@unicef.org Simon Ingram Regional Chief of Communication UNICEF MENA Regional Office Mobile: (0) singram@unicef.org 14

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